American Journal of Psychiatry

Volume 148, Issue 2

February 1991

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Article

February 1991

Books Received

Page:A24
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.A24

February 1991

The APA Task Force report on benzodiazepine dependence, toxicity, and abuse

Pages:151–152
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.151

February 1991

Clarification of projective identification

Pages:153–161
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.153

Preview Abstract

This paper clarifies the various current usages of the term "projective identification." The author presents a broad reference model of projective identification based on the work of Ogden. This model divides projective identification into three steps. ...

February 1991

Insights into the structure and function of GABA-benzodiazepine receptors: ion channels and psychiatry

Pages:162–173
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.162

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OBJECTIVE: As a result of combined biophysical and molecular biological studies, important insights into the structure and function of gamma- aminobutyric acid (GABA) receptors have been achieved. These insights have helped to define the role of GABA ...

February 1991

Persistence and remission of depressive symptoms in late life

Pages:174–178
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.174

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OBJECTIVE: The relation of poor health to the onset of depression symptoms in late life is well recognized, but little attention has been given to characteristics that might predict persistence or remission of depressive symptoms. In previous analyses the ...

February 1991

Characterization of depression in war-related posttraumatic stress disorder

Pages:179–183
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.179

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OBJECTIVE: Many patients with posttraumatic stress disorder (PTSD) have symptoms of depression, but operationalized psychological constructs related to depression have not been used extensively in characterizing affective symptoms of PTSD. The authors' ...

February 1991

Familial alcoholism in primary unipolar major depressive disorder

Pages:184–188
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.184

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OBJECTIVE: Some studies have suggested relationships between depression in probands and alcoholism in relatives. Other studies have not, but some of these have used inappropriate control groups or failed to divide probands by sex. METHOD: The present ...

February 1991

Less frequent lithium administration and lower urine volume

Pages:189–192
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.189

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OBJECTIVE: This study was designed to determine whether patients maintained on a regimen of lithium on a once-per-day schedule have lower urine volumes than do patients receiving multiple doses per day. METHOD: This was a cross-sectional study of 85 ...

February 1991

Heterogeneity of clinical response during placebo treatment

Pages:193–196
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.193

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OBJECTIVE: The authors attempted to identify different patterns of improvement among patients receiving placebo during clinical trials. It was hypothesized that patients who improved abruptly would differ from patients whose improvement was gradual in ...

February 1991

Different types of placebo response in patients receiving antidepressants

Pages:197–203
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.197

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OBJECTIVE: The authors studied the responses of drug-treated patients in an attempt to validate observations about abrupt and gradual improvements in patients receiving placebo. Since previous data suggested that in the first 2 weeks of antidepressant ...

February 1991

A national study of psychiatric hospital care

Pages:204–210
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.204

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BACKGROUND: The delivery system for psychiatric inpatient services in the United States has changed dramatically over the past 30 years, undergoing a marked privatization. METHOD: To assess the effect of changes in ownership and types of inpatient ...

February 1991

Disturbed body image in patients with eating disorders

Pages:211–215
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.211

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OBJECTIVE: The authors attempt to answer the question of whether patients with eating disorders experience more distortions in body image than do individuals without eating disorders. METHOD: The study group was composed of 214 women out of 230 patients ...

February 1991

A survey of Canadian psychiatric residents regarding resident-educator sexual contact

Pages:216–220
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.216

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BACKGROUND and METHOD: A survey of all Canadian psychiatric residents was undertaken to ascertain the prevalence of resident-educator sexual contact in training programs, the residents' feelings about this contact, their knowledge of the ethical standards ...

February 1991

The effect of financial management on alcohol-related hospitalization

Pages:221–223
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.221

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OBJECTIVE: Treatment-unresponsive alcoholics in New Zealand who are unable to care for themselves tend to be hospitalized for lengthy periods of time. The author examined the effect of adding financial management to the therapeutic management of such ...

February 1991

Drug abuse in schizophrenic patients: clinical correlates and reasons for use

Pages:224–230
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.224

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OBJECTIVE: This study aimed to 1) determine substance abuse prevalence and preference in a diverse sample of schizophrenic, schizoaffective, and schizophreniform inpatients, 2) compare drug-abusing and non-drug- abusing patients on demographic and ...

February 1991

Clozapine and norclozapine plasma concentrations and clinical response of treatment-refractory schizophrenic patients [published erratum appears in Am J Psychiatry 1991 Oct;148(10):1427]

Pages:231–235
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.231

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OBJECTIVE: Clozapine, an atypical antipsychotic, has been estimated to be effective in 30% of treatment-refractory schizophrenic patients. The authors hypothesized that if a dose-response relationship was obvious for this drug, the response rate could be ...

February 1991

Hidden severe psychiatric morbidity in sentenced prisoners: an Australian study

Pages:236–239
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.236

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OBJECTIVE: The aim of this survey was to estimate the prevalence of severe mental disorders in a representative sample of sentenced prisoners. METHOD: The subjects were selected as a random sample of sentenced prisoners in Melbourne's three metropolitan ...

February 1991

Characteristics of psychotic inpatients with high or low HVA levels at admission

Pages:240–243
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.240

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OBJECTIVE: The purpose of this study was to examine the clinical profiles of psychotic patients whose fasting levels of plasma free homovanillic acid (HVA) were elevated on the day after admission to the hospital. METHOD: These 85 subjects with nonorganic ...

February 1991

Cold agglutinin autoantibodies in psychiatric patients: their relation to diagnosis and pharmacological treatment

Pages:244–247
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.244

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BACKGROUND and METHOD: The purpose of this study was to compare titers of cold agglutinins in schizophrenic patients with those in patients with major affective disorders and in normal healthy subjects. One hundred sixty-six psychiatric patients and 37 ...

February 1991

Olfactory identification deficits in HIV infection

Pages:248–250
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.248

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OBJECTIVE: Impaired odor identification is described in a number of CNS disorders, and human immunodeficiency virus (HIV) infects the CNS in a large percentage of patients. To evaluate whether impaired olfaction may indicate CNS disease, the authors ...

February 1991

Familial association between attention deficit disorder and anxiety disorders

Pages:251–256
Published Online:1 April 2006

https://doi.org/10.1176/ajp.148.2.251

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BACKGROUND AND METHOD: This study tested hypotheses about patterns of familial association between attention deficit disorder (ADD) and anxiety disorders among 356 first-degree relatives of 73 clinically referred children with ADD and 26 normal comparison ...